- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,930.87 / $10,774.70 / $16,366.00
| Facility | | $7,930.87 | $10,774.70 | $16,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,936.80 / $5,936.80 / $5,936.80
| Facility | | $5,936.80 | $5,936.80 | $5,936.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,452.35 / $10,016.39 / $15,210.00
| Facility | | $6,452.35 | $10,016.39 | $15,210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.66 / $9,704.62 / $17,288.00
| Facility | | $6,918.66 | $9,704.62 | $17,288.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.54 / $106.83 / $171.54
| Facility | | $73.54 | $106.83 | $171.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,620.55 / $10,546.54 / $17,357.15
| Facility | | $7,620.55 | $10,546.54 | $17,357.15 |